Diarrhea:

1) Definition/Explanation.

2) Organs affected.

3) Western causes.

4) TCM differential diagnosis: general signs

1) Abnormal frequency of bowel movements w/liquidity

2) Affects: ST, SP, SI, LI, KI

3) Crohn's Dz: dark blood in stool (damp-heat), Ulcerative colitis: abdo. pain mucus in stools (damp-heat in LI w/stasis), IBS: (diagnosis of exclusion) sharp, dull, moving pain, commonly alternation diarrhea constipation (LQS attacking LI)

4) General TCM diagnosis:

HEAT-foul smelling, burning, dark stool

COLD- no smell

DEF- Ab pain/discomfort worse after BM

EX- Ab pain/discomfort less after BM

KI YANG DEF- early am 

EPF/COLD- acute w/aversion to cold

GB DAMP-HEAT- pale yellow stools

Diarrhea:

d/t

Acute Cold-Damp

1) general signs

2) TXP

3) PTS

1) watery bm, borborygmus, no thirst, 

P: slow

T: pale, enlarged

2) TXP: warm ST, resolve damp

3) ST 25: front mu LI, reg. intestines & Sp/St, reg. qi & blood/eliminates stagnation

Protocol: ST 36, Ren 12, PC 6

*moxa 

Diarrhea:

d/t

Acute Damp-heat

1) general signs

2) TXP

3) PTS

1) diarrhea w/pain, hot sensation, foul smell, dark/scanty urine, thirst. T: red w/yellow/sticky coat. P: rapid, slippery

2) TXP: clear heat, resolve damp-heat

3) ST 44: Ying-Spring/water pt.; Harmonizes intestines/clears damp-heat, promotes digestion, reduces excess

SP 9: He-sea/water pt.; reg. SP/resolves damp, benefits low. jiao

Protocol: ST 36, REN 12, PC 6

*moxa

Diarrhea:

d/t

Food Stagnation

1) general signs

2) TXP

3) PTS

1) distention/pain, foul bm, belching, lack of appetite, T: thick/turbid coat, P: slippery, rapid

2) Reduce SP/ST, remove stagnation

3) ST 25: front mu LI, reg. intestines, reg. ST/SP, resolves damp & damp-heat, reg qi & eliminates stagnation

ST 36: harmonizes ST, fortifies SP & resolves damp, 

REN 10: Harmonizes ST, reg. Qi, eliminates food stagnation, opens Pyloric sphincter

Diarrhea:

d/t

Chronic KI Yang Def

1) general signs

2) TXP

3) PTS

1) low jiao pain, cock's crow diarrhea, pain &s/s worse w/cold, cold lower limbs, T: pale, enlarged, P: deep, no force

2) Fortify Ki/Sp. Moxa.

3) UB 20: back shu SP; Ton. SP & Yang, Reg. & harmonizes mid Jiao 

UB 23: back-shu KI; Ton KI fortifies Yang,

Firms KI Qi

KI 3: shu-stream; yuan-source pt; Ton KI Yang

DU 4: "Ming men". Ton KI 

REN 4:  front-mu SI, Ton KI, Warm/Ton SP

ST 36: fortifies SP/resolves damp, Ton. Qi, fosters original Qi, 

Abdominal Pain:

1) OM Causes

2) Description of quality of pain

1) Cold, Damp, Emotional Stress, Improper Diet

2) DEF: dull

EX: severe

STABBING/FIXED: blood stagnation

FEELING OF FULLNESS: food stag. or severe Qi stag., Damp

Abdominal Pain:

d/t

Cold in Intestines

1) general signs

2) TXP

3) PTS

1) intense pain/worse w/pressure & cold drink or food,  no thirst, clear/pale urine, loose stool, diarrhea, T: pale, sticky white coat, P: tight,  slippery, full, (maybe slow)

2) TXP: warm intestines & SP, scatter cold, stop pain

3)  ST 25: front-mu LI, Reg. intestines/SP/ST

ST 36: he-sea pt; harmonizes ST, fortifies SP,

Ton Qi, Activates channel/alleviates pain

ST 37: lower he-sea LI; Reg. intestines/SP/ST, alleviates pain

ST 39: lower he-sea SI; Reg./harmon intestines, alleviates pain

SP 6: meeting pt SP/LV/KI; Ton ST/SP, resolves damp, harmon. lower jiao, alleviates pain

SP 15: meeting pt SP chan. w/yin wei mai; moves Qi, reg. intestines

REN 10: meeting pt Ren mai w/SP chan; harmon. SP/ST, Reg. Qi, dispels food stag.

Ear Points: LI, SI, shen men, sympathetic

*moxa

Abdominal pain:

d/t

Damp heat

1) general signs

2) TXP

3) PTS

1) Ab. Pain- worse w/pressure, heaviness/oppression in chest, foul smelling/loose BM, blood/mucus in stool, slight/no thirst (drinking may make it worse), slight sweat, dark urine, T: red, thick/yellow coat (esp. root), P: rapid, slippery

2) TXP: drain/resolve damp, clear heat

3) ST 40: luo-connecting pt; transforms phlegm/damp, 

ST 25: front-mu LI, reg. SP/ST, resolves damp-heat, 

ST 37: lower he-sea; clears damp-heat, reg. SP/ST

ST 44: ying-spring; clears heat from ST/alleviates pain, harmon. intestines/clears damp-heat

SP6: resolves damp, harmon. low jiao, 

SP9: he-sea; reg. SP/resolves damp, benefits low jiao

LI 11: he-sea; clears heat, cools blood/drains damp, reg. qi/blood

REN 10: harmon. ST, reg. Qi

SJ 6: jing-river; reg. qi/clears heat in 3 jiao

UB 25: back-shu LI; reg. intestines, alleviates pain

Abdominal:

d/t

Food Stagnation

1) general signs

2) TXP

3) PTS

1) Ab. pain (relieved by diarrhea), worse w/pressure & post prad., fullness in Ab, belching, sour regurge, possible constipation

2) dissolve food stagnation, eliminate Qi stag, move qi

3) ST 37: reg intestines/transforms stagnation, reg. SP/ST, alleviates pain

ST 36: harmon. ST, fortifies SP, supports correct Qi, alleviates pain

SP 15: meeting pt of SP/yin wei mai; moves qi, reg. intestines

SP 16: meeting pt Sp/yin wei; reg. intestines

REN 6: treats constipation (CAM)

REN 10: meetin pt Ren mai/SP; harmon. ST, Reg. Qi, dispels food stagnation

UB 25: reg. intestines, transforms stagnation

UB 27: back-shu SI; separtes pure from turbid, reg. intestines, 

SJ 6: Moves stool, alleviates pain

*moxa if cold

Abdominal pain:

d/t

Qi stagnation; LV over-acting on SP

1) general signs

2) TXP

3) PTS

1) ab. pain & distention (related to emotions), bloating/belching/borborygmus, constipation, irritability/moodiness, T: red sides, P: wiry

2) Smooth LV Qi, move Qi

3) Ren 6: reg. Qi

PC 6: luo pt; harmon ST

PC 7: shu-stream, yuan-source pt; harmon. ST & intestines

SJ 6: Reg. Qi/clears heart in 3 Jiao, Moves stool, 

GB 34: he-sea; Spreads LV Qi/benefits lateral costal region

UB 18: back-shu LV; spreads LV Qi, 

SP 6: Ton SP/ST, Harmon. LV/low jiao, 

LV 3: shu-stream/yuan-source pt; spreads LV Qi, Reg. Low Jiao

LV 6: Xi-cleft; Spreads LV Qi/reg. low jiao

LV 14: front-mu LV; spreads/reg. LV Qi, Harmonizes LV & ST

Abdominal Pain:

d/t

Qi Stagnation; LV over-acting on SP

Abdominal pain:

d/t

Blood stasis

1) general signs

2) TXP

3) PTS

1) fixed, stabbing pain, masses, dark/dusky complexion, T: dark, dusky, P: choppy/hesitant, deep;    deep & firm

2) Move blood, eliminate stasis, stop pain, open channels

3) SP 10: invigorates blood

PC 6: calms spirit, reg. qi

PC 7: shu-stream/yuan source; calms spirit

REN 6: 

SJ 6: Reg Qi, 

GB 34: he-sea; spreads LV Qi/benefits lateral costal region, 

LV 3: shu-stream/yuan source; spreads LV qi, regulates menstruation 

UB 17: hui pt blood; invigorates blood/dispels stasis

UB 18: back-shu LV; spreads LV Qi, reg. LV blood, 

SP 6: meeting pt SP/LV/KI; harmon. LV, Invigorates blood

LU7/KI6: open/regulate ren & yin qiao mai, treat blood stasis